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1275651853
JAY MORTON BLOOM
LOS GATOS, CA
NPI
1275651853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 18449)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Dr. JAY MORTON BLOOM D.D.S.
14515 S BASCOM AVE
LOS GATOS, CA 95032-2003
Phone number: 408-356-6106
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Mailing Address
Dr. JAY MORTON BLOOM D.D.S.
14515 S BASCOM AVE
LOS GATOS, CA 95032-2003
Phone number: 408-356-6106
Copy
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